[<p class="reponse_formulaire reponse_formulaire_erreur"><span class="alerte1">(#ENV*{message_erreur})</span></p>]
[<p class="reponse_formulaire reponse_formulaire_ok">(#ENV*{message_ok})</p>]
<BOUCLE_editable(CONDITION){si #ENV{editable}|oui}>
<form action='#ENV{action}' method='post'> 
    #ACTION_FORMULAIRE{#ENV{action}}


<div class="item">
	[<span class="alerte">(#ENV**{erreurs}|table_valeur{nom})</span>]
	<input name="nom" type="text" class="feedback-input" value="#ENV{nom}"
	placeholder="<:escal:contact_nom:> *" id="nom" />
</div>

<div class="item">
	[<span class="alerte">(#ENV**{erreurs}|table_valeur{prenom})</span>]
	<input name="prenom" type="text" class="feedback-input" value="#ENV{prenom}"
	placeholder="<:escal:contact_prenom:> *" id="prenom" />
</div>

[(#CONFIG{escal/config/contactmail}|=={non}|non)
<div class="item">
	[<span class="alerte">(#ENV**{erreurs}|table_valeur{email})</span>]
	<input name="email" type="text" class="feedback-input" value="#ENV{email}"
	placeholder="<:escal:contact_mail:> *" id="email" />
</div>
]

[(#CONFIG{escal/config/champsup1}|=={oui}|oui)
<div class="item">
	[<span class="alerte">(#ENV**{erreurs}|table_valeur{champsup1})</span>]
	<input name="champsup1" type="text" class="feedback-input" value="#ENV{champsup1}"
	placeholder="[(#CONFIG{escal/config/titrechampsup1}|_T_ou_typo)][(#CONFIG{escal/config/champsup1oblig}|=={oui}|oui)*]" id="champsup1" />
</div>
]
[(#CONFIG{escal/config/champsup2}|=={oui}|oui)
<div class="item">
	[<span class="alerte">(#ENV**{erreurs}|table_valeur{champsup2})</span>]
	<input name="champsup2" type="text" class="feedback-input" value="#ENV{champsup2}"
	placeholder="[(#CONFIG{escal/config/titrechampsup2}|_T_ou_typo)][(#CONFIG{escal/config/champsup2oblig}|=={oui}|oui)*]" id="champsup2" />
</div>
]

[(#CONFIG{escal/config/radio}|=={oui}|oui)
<div class="item radio">
	[<span class="alerte">(#ENV**{erreurs}|table_valeur{sujet})</span>]
	<div class="texte-item" id="motif"><:escal:contact_motif:> [(#CONFIG{escal/config/radiooblig}|=={oui}|oui)*]</div>

		[(#CONFIG{escal/config/motif1}|?{' ',''})
		<div class="listitem radio1">
			<input type="radio" name="sujet" size="30"
			value="[(#CONFIG{escal/config/motif1}|_T_ou_typo)]"
			[(#ENV{sujet}|=={[(#CONFIG{escal/config/motif1}|_T_ou_typo)]]}|oui)checked] />
			<label class="contact-radio" for="sujet1">[(#CONFIG{escal/config/motif1}|_T_ou_typo)]</label>
		</div>
		]
		[(#CONFIG{escal/config/motif2}|?{' ',''})
		<div class="listitem radio2">
			<input type="radio" name="sujet" size="30"
			value="[(#CONFIG{escal/config/motif2}|_T_ou_typo)]"
			[(#ENV{sujet}|=={[(#CONFIG{escal/config/motif2}|_T_ou_typo)]]}|oui)checked] />
			<label class="contact-radio" for="sujet2">[(#CONFIG{escal/config/motif2}|_T_ou_typo)]</label>
		</div>
		]
		[(#CONFIG{escal/config/motif3}|?{' ',''})
		<div class="listitem radio3">
			<input type="radio" name="sujet" size="30"
			value="[(#CONFIG{escal/config/motif3}|_T_ou_typo)]"
			[(#ENV{sujet}|=={[(#CONFIG{escal/config/motif3}|_T_ou_typo)]]}|oui)checked] />
			<label class="contact-radio" for="sujet3">[(#CONFIG{escal/config/motif3}|_T_ou_typo)]</label>
		</div>
		]
		[(#CONFIG{escal/config/motif4}|?{' ',''})
		<div class="listitem radio4">
			<input type="radio" name="sujet" size="30"
			value="[(#CONFIG{escal/config/motif4}|_T_ou_typo)]"
			[(#ENV{sujet}|=={[(#CONFIG{escal/config/motif4}|_T_ou_typo)]]}|oui)checked] />
			<label class="contact-radio" for="sujet4">[(#CONFIG{escal/config/motif4}|_T_ou_typo)]</label>
		</div>
		]
		[(#CONFIG{escal/config/motif5}|?{' ',''})
		<div class="listitem radio5">
			<input type="radio" name="sujet" size="30"
			value="[(#CONFIG{escal/config/motif5}|_T_ou_typo)]"
			[(#ENV{sujet}|=={[(#CONFIG{escal/config/motif5}|_T_ou_typo)]]}|oui)checked] />
			<label class="contact-radio" for="sujet5">[(#CONFIG{escal/config/motif5}|_T_ou_typo)]</label>
		</div>
		]

	<br/>
</div>
]

[(#CONFIG{escal/config/checkbox}|=={oui}|oui)
<div class="item checkbox">
	[<span class="alerte">(#ENV**{erreurs}|table_valeur{checkbox})</span>]
	<div class="texte-item" id="checkbox">
	[(#CONFIG{escal/config/titrecheckbox}|oui)
         [(#CONFIG{escal/config/titrecheckbox}|_T_ou_typo)][(#CONFIG{escal/config/checkboxoblig}|=={oui}|oui)*]
        ]
     </div>
        
	[(#CONFIG{escal/config/checkbox1}|?{' ',''})
	<div class="listitem">
	<input type="checkbox" name="checkbox\[\]" value="[(#CONFIG{escal/config/checkbox1}|_T_ou_typo)]" [(#ENV{checkbox}|find{[(#CONFIG{escal/config/checkbox1}|_T_ou_typo)]}|oui)checked] />
	<label>[(#CONFIG{escal/config/checkbox1}|_T_ou_typo)]</label>
	</div>
	]

	[(#CONFIG{escal/config/checkbox2}|?{' ',''})
	<div class="listitem">
	<input type="checkbox" name="checkbox\[\]" value="[(#CONFIG{escal/config/checkbox2}|_T_ou_typo)]" [(#ENV{checkbox}|find{[(#CONFIG{escal/config/checkbox2}|_T_ou_typo)]}|oui)checked] />
	<label>[(#CONFIG{escal/config/checkbox2}|_T_ou_typo)]</label>
	</div>
	]

	[(#CONFIG{escal/config/checkbox3}|?{' ',''})
	<div class="listitem">
	<input type="checkbox" name="checkbox\[\]" value="[(#CONFIG{escal/config/checkbox3}|_T_ou_typo)]" [(#ENV{checkbox}|find{[(#CONFIG{escal/config/checkbox3}|_T_ou_typo)]}|oui)checked] />
	<label>[(#CONFIG{escal/config/checkbox3}|_T_ou_typo)]</label>
	</div>
	]

	[(#CONFIG{escal/config/checkbox4}|?{' ',''})
	<div class="listitem">
	<input type="checkbox" name="checkbox\[\]" value="[(#CONFIG{escal/config/checkbox4}|_T_ou_typo)]" [(#ENV{checkbox}|find{[(#CONFIG{escal/config/checkbox4}|_T_ou_typo)]}|oui)checked] />
	<label>[(#CONFIG{escal/config/checkbox4}|_T_ou_typo)]</label>
	</div>
	]

	[(#CONFIG{escal/config/checkbox5}|?{' ',''})
	<div class="listitem">
	<input type="checkbox" name="checkbox\[\]" value="[(#CONFIG{escal/config/checkbox5}|_T_ou_typo)]" [(#ENV{checkbox}|find{[(#CONFIG{escal/config/checkbox5}|_T_ou_typo)]}|oui)checked] />
	<label>[(#CONFIG{escal/config/checkbox5}|_T_ou_typo)]</label>
	</div>
	]

	<br/>
</div>
]

<div class="item" style="display:none;">
	N'entrez rien dans ce champ *
	<input type="text" name="Antispam" value="#ENV{Antispam}" size="30" />
</div>

<div class="item">
	[<span class="alerte">(#ENV**{erreurs}|table_valeur{message})</span>]
	<textarea name="message" class="feedback-input" placeholder="<:escal:contact_message:> *" id="message">[(#ENV{message})]</textarea>
</div>

<div class="item">
	<input type="submit" value="<:escal:contact_envoyer:>" id="button-blue"/>
	<div class="ease"></div>
</div>

</form> 
</BOUCLE_editable>
<div class="nettoyeur"></div>